DR. PAIGE YVETTE JACKSON (NPI# 1245431758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245431758 |
| Entity Type | Individual |
| Full Name | DR. PAIGE YVETTE JACKSON |
| Credential | MD |
| Practice Address |
4722 N 24th St Ste 150 Phoenix AZ 85016 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 6022564628 |
| Practice Fax Number | 6026276325 |
| Mailing Telephone | 6022564628 |
| Mailing Fax Number | 6026276325 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
54487 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A85763 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326731 | Paige K Jackson | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-15 |
| 1881116606 | Paige M Jackson | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2017-07-13 |
| 1972047264 | Paige Jackson | Nurse Practitioner | 4715 24th Pl, Meridian, MS 39305-1686 | 2016-12-06 |
| 1124386636 | Paige Roton Jackson | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2012-05-03 |
| 1053493833 | Paige B Jackson | Anesthesiologist Assistant | 6605 Abercorn St, St 108, Savannah, GA 31405-5815 | 2006-10-20 |
| Street Address |
4722 N 24TH ST STE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225051618 | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2006-07-26 |
| 1912331109 | Anshul Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2013-08-24 |
| 1467708370 | Vrinda Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2012-07-29 |
| 1396008504 | Hemanandakumar Muniraman | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016 | 2012-06-21 |
| 1821386517 | Navin Singh Bhopal | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2011-07-14 |
| 1225328628 | Vershanna Emily Morris | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245490754 | Harriet Nkhwanjiwa Banda | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2008-06-10 |
| 1841469046 | Suma P Rao | Pediatrics | 901 E Willetta St Ste 2503, Phoenix, AZ 85006-2727 | 2008-02-21 |
| 1861509465 | Zahi Haidar-ahmad | Pediatrics | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2006-08-23 |
| 1356333660 | Pranav Patel | Pediatrics | 4722 N 24th St, Suite 150, Phoenix, AZ 85016-4800 | 2005-08-22 |
| 1962926584 | Audrey Ann Nervig | Pediatrics | 7720 N 16th St Ste 425, Phoenix, AZ 85020-4401 | 2017-07-26 |
| 1295138691 | Sheridan Childrens Healthcare Services of Arizona, Inc. | Pediatrics | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2014-09-30 |
| 1225440258 | Jennifer Weber | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2014-05-26 |
| 1063823078 | Soumini Chintala | Pediatrics | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2014-05-13 |
| 1508277708 | Jessica Wickland | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-05-11 |
| 1912331109 | Anshul Arora | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2013-08-24 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.